title: Goal attainment scaling in patients with lower urinary tract symptoms: development and pilot testing of the Self-Assessment Goal Achievement (SAGA) questionnaire.
abstract: OBJECTIVE
  The Self-Assessment Goal Achievement (SAGA) questionnaire was developed to identify treatment goals and assess goal-achievement in patients with lower urinary tract symptoms (LUTS).
  
  
  METHODS
  This study consisted of (1) gathering information on goal setting/attainment concepts, (2) goal elicitation (n = 41 patients with LUTS), (3) cognitive debriefing of draft questionnaire (n = 11), and (4) pilot testing (n = 104).
  
  
  RESULTS
  SAGA consists of baseline (goal-assessment; ranking) and follow-up (goal-achievement) modules. In addition to goals most frequently mentioned, patients can list up to five open goals. Goals most commonly reported as "very important" in pilot testing included reducing urgency (72%), incontinence (65%), and nocturia (64%). Treatment goals spontaneously reported as "very important" were reducing incontinence (45%), nocturia (40%), and frequency (26%).
  
  
  CONCLUSIONS
  SAGA may be used to identify treatment goals and assess goal-achievement in patients with LUTS in the clinic and for research (with additional validation). This information may promote patient-physician interaction and help patients establish realistic treatment goals, which may in turn improve treatment adherence and outcomes.
authors.affiliation: Loyola University Chicago, 2160 South First Ave., Building 103, Room 1004, Maywood, IL 60153, USA. lbrubaker@lumc.edu
authors.forename: Linda
authors.initials: L
authors.lastname: Brubaker
authors.forename: Vik
authors.initials: V
authors.lastname: Khullar
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Piault
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Evans
authors.forename: Tamara
authors.initials: T
authors.lastname: Bavendam
authors.forename: James
authors.initials: J
authors.lastname: Beach
authors.forename: Yating
authors.initials: Y
authors.lastname: Yeh
authors.forename: Zoe S
authors.initials: ZS
authors.lastname: Kopp
authors.forename: Con J
authors.initials: CJ
authors.lastname: Kelleher
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Trocio
mesh_terms: D000124:Achievement; D000328:Adult; D000368:Aged; D059026:Diagnostic Self Evaluation; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000523:psychology / Q000628:therapy*; D017699:Pelvic Pain / Q000523:psychology / Q000628:therapy*; D010865:Pilot Projects; D011795:Surveys and Questionnaires; D014555:Urination Disorders / Q000523:psychology / Q000628:therapy*; D055815:Young Adult